| Doctor Name: | MS. LORETTA JEAN SMITH |
| NPI Number: | 1457533424 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R855649 |
| Business Practice Address: | 571 Mitchell Road Guntown, MS - 38849 |
| Business Phone Number: | 6623482002 |
| Business Fax Number: | 6623482001 |
| Mailing Address: | Po Box 156, GUNTOWN |
| State: | MS |
| Postal Code: | 388490156 |
| Phone Number: | 6623482002 |
| Fax Number: | 6623482001 |
| NPI Enumeration Date: | 12/03/2007 |
| NPI Last Update Date: | 05/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R855649 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |